Summary
The Article 2 investigative duty is not confined to cases involving evidence of an arguable substantive breach. In recognised categories, including some deaths in custody and suicides of psychiatric patients, it may arise from the circumstances of the death and the State’s care or control. Legal-aid guidance must identify that possibility and must not treat arguable breach as a universal threshold. The precise boundaries need not be exhaustively defined. Under the Legal Aid, Sentencing and Punishment of Offenders Act 2012, guidance may be challenged where, if followed, it would lead to, permit or encourage unlawful decisions. A descriptive reference to “most” inquests was not unlawful on the evidence.
Factual background
This was a first-instance judicial review of the Lord Chancellor’s Exceptional Funding Guidance (Inquests). The claimant, the sister of Christopher Letts, challenged the refusal of legal aid for family representation at the inquest into his suicide after psychiatric treatment. The individual claim was subsequently conceded and legal aid was granted, but the challenge to the Guidance continued because of its wider public importance.
The claimant argued that the Guidance wrongly required caseworkers first to identify an arguable breach of the State’s substantive Article 2 duties in every case. It failed, she argued, to recognise categories in which the investigative duty arose automatically, including some suicides of psychiatric patients. The court confined the proceedings to the legality of the Guidance in that context. It did not determine whether the State had actually breached Article 2 or the precise outer limits of the automatic duty.
Held
- Outcome. The judicial review succeeded to the extent that the Guidance was materially erroneous and misleading. The court declined to quash it and reserved submissions on whether declaratory relief should be granted.
- Article 2 purpose and participation. The investigative duty serves purposes beyond attributing blame. It may bring facts to light, expose culpable conduct, allay unjustified suspicion, correct dangerous practices and promote lessons for the future. The next-of-kin’s legitimate interests therefore include discovering the truth, securing exculpation and preventing recurrence. Their involvement is an integral part of the Article 2 duty and may require legal aid in a proper case. The court relied on R (Middleton) v West Somerset Coroner [2004] UKHL 10, R (Amin) v Home Secretary [2003] UKHL 51, R(L(a patient)) v Secretary of State for Justice [2008] UKHL 68 and Edwards v United Kingdom (2002) 35 EHRR 487.
- Automatic categories. The procedural duty may arise without evidence of an arguable breach of the substantive duties. In cases involving State custody, detention or comparable care and control, the fact and circumstances of the death may themselves create the relevant possibility of State responsibility. R(Smith) v Oxfordshire Assistant Deputy Coroner [2010] UKSC 29 and R(L(a patient)) v Secretary of State for Justice [2008] UKHL 68 supported that conclusion.
- Psychiatric patients. The suicide of a voluntary psychiatric patient is capable, depending on the facts, of triggering the investigative duty. The relevant inquiry concerns whether the patient was, or remained, under State care or control. R(Rabone) v Pennine Care NHS Foundation Trust [2012] UKSC 2 concerned the operational duty rather than the investigative duty, but its reasoning supported this analogy. The precise outer limits were left open.
- Guidance. By directing caseworkers to decide in every case whether there was an arguable substantive breach before considering the need for representation, the Guidance wrongly conflated the trigger for investigation with State culpability. It was sufficient to identify the existence of automatic categories and indicate that arguability might still be relevant where appropriate; exhaustive definitions were unnecessary.
- Review of guidance. Applying the principle in Gillick v West Norfolk and Wisbech Area Health Authority [1985] UKHL 7, as summarised in R (Tabbakh) v The Staffordshire and West Midlands Probation Trust et ors [2014] EWCA Civ 827, the court asked whether the Guidance would lead to, permit or encourage unlawful acts or decisions. It would do all three. The challenge to the descriptive word “most” in paragraph 19 failed because there was no evidence that it was materially wrong and likely to distort case-by-case decision-making.
The court’s approach to earlier authorities
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Appellate history
The matter was a first-instance judicial review. The judgment records that the individual legal-aid issue was conceded and that permission to challenge the Guidance was granted by Andrews J on 2 October 2014. The present court determined the remaining public-law challenge.
Key cases cited
12 authorities cited.
- Rabone and another v Pennine Care NHS Foundation Trust [2012] UKSC 2
- R (on the application of Smith) v Secretary of State for Defence and another [2010] UKSC 29
- R (On The Application of JL v Secretary of State For Justice (Appellant) [2008] UKHL 68
- Regina v. Her Majesty's Coroner for the Western District of Somerset (Respondent) and another (Appellant) ex parte Middleton (FC) (Respondent) [2004] UKHL 10
- Regina v. Secretary of State for The Home Department (Respondent) ex parte Amin (FC) (Appellant) [2003] UKHL 51
- Gillick v West Norfolk and Wisbech Area Health Authority (Gillick v Department of Health and Social Security) [1985] UKHL 7
- Tabbakh, R (On the Application Of) v Staffordshire And West Midlands Probation Trust & Anor [2014] EWCA Civ 827
- Humberstone, R (on the application of) v Legal Services Commission [2010] EWCA Civ 1479
- YA, R (on the application of) v Secretary of State for Health [2009] EWCA Civ 225
- Antoniou, R (on the application of) v Central and North West London NHS Foundation Trust & Ors [2013] EWHC 3055 (Admin)
- Jordan v United Kingdom (2003) 37 EHRR 2
- Edwards v United Kingdom (2002) 35 EHRR 487
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Cases citing this case
13 later cases · 7 positive · 1 neutral · 3 caution · 2 negative
Most senior citing decisions:
- R v Secretary of State for the Home Department [2021] UKSC 37 not followed
- British Medical Association, R (on the application of) v General Medical Council [2026] EWCA Civ 143 mentioned
- Jessica Morahan, R (on the application of) v His Majesty's Assistant Coroner for West London [2022] EWCA Civ 1410 disapproved
- Bayer Plc & Anor v NHS Darlington CCG & Ors [2020] EWCA Civ 449
- Helen Timson, R (on the application of) v Secretary of State for Work and Pensions [2022] EWHC 2392 (Admin)
- Grice, R (On the Application Of) v [2020] EWHC 3581 (Admin)
- The Joint Council for the Welfare of Immigrants v The President of the Upper Tribunal (Immigration And Asylum Chamber) [2020] EWHC 3103 (Admin)
- R (W, A Child By His Litigation Friend J) v The Secretary of State for the Home Department & Anor [2020] EWHC 1299 (Admin)
- Bayer Plc v NHS Darlington Clinical Commissioning Groups (CCG) & Ors [2018] EWHC 2465 (Admin)
- Palestine Solidarity Campaign Ltd & Anor , R (On the Application Of) v Secretary of State for Communities And Local Government [2017] EWHC 1502 (Admin)
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